This form is not a diagnostic instrument and is only to be used within the context of your medical treatment and by you if you are greater than 18 years old. Share your checklist responses and assessment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material.

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M3 Information LLC ("M3 Information," "we," "us," "our") provides this web site (the "Site") and the personal health data viewing and reporting services (collectively, the "Service") subject to your compliance with the terms and conditions set forth in this agreement (the "Agreement"). This Agreement governs the relationship between M3 Information and you, the Site visitor, with respect to your use of the Service. It is important that you read carefully and understand the terms and conditions of this Agreement and the M3 Information' policy regarding the collection of information about you, which is located at (the "Privacy Policy"). Please note that by visiting the Site and using the Service, you are deemed to have accepted the terms and conditions of this Agreement and the Privacy Policy. We reserve the right at any time to: •Change the terms and conditions of this Agreement; •Change the Site or the Service, including eliminating or discontinuing any feature of the Service or any content on the Site; or •Change any fees or charges for use of the Site and the Service. Any changes we make will be effective immediately upon notice, which we will provide by means including, without limitation, posting on the Site. Your continued use of the Service following such changes will be deemed acceptance of such changes. You agree to the receipt of notices of amendments and modifications to this Agreement. Be sure to return to this page periodically to ensure familiarity with the most current version of this Agreement. Upon our request, you agree to sign a non-electronic version of this Agreement. 1. Registration. The M3 Information Site is powered by Microsoft® HealthVault™. In order to use the Services available on the Site, you are required to Sign In to the Microsoft® HealthVault™, and be or become a registered user with a Microsoft® HealthVault™ Account. It is important that you read carefully and understand the terms and conditions of any Terms of Use associated with the Microsoft® HealthVault™. YOU ARE ENTIRELY RESPONSIBLE FOR MAINTAINING THE CONFIDENTIALITY OF YOUR USERNAME AND PASSWORD AND FOR ANY AND ALL ACTIVITIES (INCLUDING PURCHASES, AS APPLICABLE) THAT ARE CONDUCTED THROUGH YOUR MICROSOFT® HEALTHVAULT™ ACCOUNT. 2. Code of Conduct. While using the Site and the Service, you agree not to: • Restrict or inhibit any other visitor or member from using the Site, including, without limitation, by means of “hacking” or defacing any portion of the Site; • Use the Site or Service for any unlawful purpose; • Express or imply that any statements you make are endorsed by us, without our prior written consent; • Transmit (a) any content or information that is unlawful, fraudulent, threatening, abusive, libelous, defamatory, obscene or otherwise objectionable, or infringes our or any third party’s intellectual property or other rights; (b) any material, non-public information about companies without the authorization to do so; (c) any trade secret of any third party; or (d) any advertisements, solicitations, chain letters, pyramid schemes, investment opportunities or other unsolicited commercial communication (except as otherwise expressly permitted by us), • Engage in spamming or flooding; • Transmit any software or other materials that contain any viruses, worms, trojan horses, defects, date bombs, time bombs or other items of a destructive nature; • Modify, adapt, sub-license, translate, sell, reverse engineer, decompile or disassemble any portion of the Site or Service; • Remove any copyright, trademark or other proprietary rights notices contained in the Site or Service; • “Frame” or “mirror” any part of the Site without our prior written authorization; • Use any robot, spider, site search/retrieval application or other manual or automatic device or process to retrieve, index, “data mine” or in any way reproduce or circumvent the navigational structure or presentation of the Site or its contents; or • Harvest or collect information about Site visitors or members without their express consent. While using the Site or the Service, you agree to comply with all applicable laws, rules and regulations. 3. Links. The Site contains links to other Internet web sites which may or may not be owned or operated by M3 Information. M3 Information has not reviewed all of the web sites that are linked to the Site, and M3 Information has no control over such sites. Unless otherwise explicitly stated, M3 Information is not responsible for the content of such web sites, any updates or changes to such sites, or the privacy or other practices of such sites, and the fact that M3 Information offers such links does not indicate any approval or endorsement of any material contained on any linked site. M3 Information is providing these links to you only as a convenience. Accordingly, we strongly encourage you to become familiar with the terms of use and practices of any linked site. Further, it is up to you to take precautions to ensure that whatever links you select or software you download (whether from the Site or other sites) is free of such items as viruses, worms, trojan horses, defects, date bombs, time bombs and other items of a destructive nature. 4. Access By Minors. Pursuant to 47 U.S.C. Section 230 (d), as amended, we hereby notify you that parental control protections (such as computer hardware, software or filtering services) are commercially available that may assist you in limiting access to material that is harmful to minors. Information identifying current providers of such protections is available at the web sites of the Electronic Frontier Foundation (http://www.eff/org/pub/Censorship/Ratings_filters_labelling/) and of America Links Up ( 5. Jurisdictional Issues. The Site is solely directed to individuals residing in the United States. We make no representation that Services available on or through the Site are appropriate or available for use in other locations. Those who choose to access the Site from other locations do so on their own initiative and at their own risk, and are responsible for compliance with local laws, if and to the extent local laws are applicable. We reserve right to limit the availability of the Site and/or the provision of any Service or other product described thereon to any person, geographic area or jurisdiction, at any time and in our sole discretion, and to limit the quantities of any such Service or other product that we provide. 6. Termination This Agreement shall remain effective until terminated in accordance with its terms. Either party may terminate this Agreement immediately upon notice to the other party. In addition, we reserve the right to immediately terminate this Agreement, and/or your access to and use of the Service or any portion of the Site, at any time and for any reason, with or without cause. Upon termination of this Agreement by either party, your right to use the Site shall immediately cease. 7. Disclaimers. THE SITE, THE SERVICE ON THE SITE, AND ANY PRODUCT OR SERVICE OBTAINED THROUGH THE SITE ARE PROVIDED “AS IS” AND WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED. TO THE FULLEST EXTENT PERMISSIBLE PURSUANT TO APPLICABLE LAW, M3 INFORMATION AND ITS AFFILIATES, LICENSORS, SUPPLIERS, ADVERTISERS, SPONSORS AND AGENTS DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, IMPLIED WARRANTIES OF TITLE, NON-INFRINGEMENT, ACCURACY, MERCHANTABILITY, AND FITNESS FOR A PARTICULAR PURPOSE, AND ANY WARRANTIES THAT MAY ARISE FROM COURSE OF DEALING, COURSE OF PERFORMANCE OR USAGE OF TRADE. Applicable law may not allow the exclusion of implied warranties, so the above exclusions may not apply to you. M3 INFORMATION AND ITS AFFILIATES, LICENSORS, SUPPLIERS, ADVERTISERS, SPONSORS AND AGENTS DO NOT WARRANT THAT YOUR USE OF THE SITE OR THE SERVICE WILL BE UNINTERRUPTED, ERROR-FREE OR SECURE, THAT DEFECTS WILL BE CORRECTED, OR THAT THE SITE OR THE SERVER(S) ON WHICH THE SITE IS HOSTED ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. YOU ACKNOWLEDGE THAT YOU ARE RESPONSIBLE FOR OBTAINING AND MAINTAINING ALL TELEPHONE, COMPUTER HARDWARE AND OTHER EQUIPMENT NEEDED TO ACCESS AND USE THE SITE, AND ALL CHARGES RELATED THERETO. YOU ASSUME ALL RESPONSIBILITY AND RISK FOR YOUR USE OF THE SITE AND THE SERVICE AND YOUR RELIANCE THEREON. NO OPINION, ADVICE OR STATEMENT OF M3 INFORMATION OR ITS AFFILIATES, LICENSORS, SUPPLIERS, ADVERTISERS, SPONSORS, AGENTS, MEMBERS OR VISITORS, WHETHER MADE ON THE SITE OR OTHERWISE, SHALL CREATE ANY WARRANTY. YOUR USE OF THE SITE AND ANY SERVICE RENDERED THROUGH THE SITE ARE ENTIRELY AT YOUR OWN RISK. Although we attempt to ensure the integrity of the Site, we make no guarantees as to the Site’s completeness or correctness. In the event that a situation arises in which the Site’s completeness or correctness is in question, please contact us with, if possible, a description of the material to be checked and the location (URL) where such material can be found on the Site, as well as information sufficient to enable us to contact you. We will try to address your concerns as soon as reasonably practicable. In addition, M3 Information and the Service should not be construed as medical or other professional advice on any subject matter. M3 Information is not engaged in rendering medical or other professional services, and the availability or use of the Services is not intended to create, and does not create, any medical or other professional services relationship. Use of the Service is not an adequate substitute for obtaining medical or other professional advice from a licensed provider in your jurisdiction. You agree you will not act or refrain from acting based on any of the Service without first seeking the services of a competent professional. 8. Limitation of Liability. NEITHER M3 INFORMATION NOR ANY OF OUR AFFILIATES, LICENSORS, SUPPLIERS, ADVERTISERS OR SPONSORS, NOR OUR OR THEIR DIRECTORS, OFFICERS, EMPLOYEES, CONSULTANTS, AGENTS OR OTHER REPRESENTATIVES, ARE RESPONSIBLE OR LIABLE FOR ANY INDIRECT, INCIDENTAL, CONSEQUENTIAL, SPECIAL, EXEMPLARY, PUNITIVE OR OTHER DAMAGES (INCLUDING, WITHOUT LIMITATION, DAMAGES FOR LOSS OF BUSINESS, LOSS OF DATA OR LOST PROFITS), UNDER ANY CONTRACT, NEGLIGENCE, STRICT LIABILITY OR OTHER THEORY ARISING OUT OF OR RELATING IN ANY WAY TO THE SITE AND/OR THE SERVICE ACCESSED OR CONTAINED ON THE SITE, ANY LINKED SITE OR ANY PRODUCT OR SERVICE PURCHASED THROUGH THE SITE. YOUR SOLE REMEDY FOR DISSATISFACTION WITH THE SITE, SERVICES OR ANY LINKED SITE IS TO STOP USING THE SITE, SERVICES OR LINKED SITE, AS APPLICABLE. THE SOLE AND EXCLUSIVE MAXIMUM LIABILITY TO M3 INFORMATION FOR ALL DAMAGES, LOSSES AND CAUSES OF ACTION, WHETHER IN CONTRACT, TORT (INCLUDING, WITHOUT LIMITATION, NEGLIGENCE) OR OTHERWISE, SHALL BE THE TOTAL AMOUNT PAID BY YOU, IF ANY, TO ACCESS THE SITE. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion may not apply to you. 9. Indemnification. You agree to indemnify, defend and hold M3 Information, our affiliates, licensors, suppliers, advertisers and sponsors, and our and their directors, officers, employees, consultants, agents and other representatives, harmless from and against any and all claims, damages, losses, costs (including reasonable attorneys’ fees) and other expenses that arise directly or indirectly out of or from (a) your breach of this Agreement, including any violation of the Code of Conduct, above; and/or (b) your activities in connection with the Site and/or the Service. 10. Copyrights and Other Rights. The contents on our Site, and the rights thereto, are owned or duly licensed to M3 Information. Any unauthorized use or copying of the information on our Site is strictly prohibited without the express written permission of M3 Information. 11. Trademarks. Any and all trademarks and service marks appearing on our Site are registered trademarks owned by, or duly licensed to, M3 Information or any of its affiliates, as well as its business partners. Any unauthorized use of these trademarks is strictly prohibited without the express written permission of M3 Information. 12. Questions. The Site is provided by M3 Information LLC. If you have any questions, comments or complaints regarding this Agreement or the Site, feel free to contact us. 13. Notice for California Users. Under California Civil Code Section 1789.3, California Site users are entitled to the following specific consumer rights notice: The Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs may be contacted in writing at 400 R Street, Suite 1080, Sacramento, California 95814, or by telephone at (916) 445-1254 or (800) 952-5210. 14. No Waiver. M3 Information shall not be deemed to have waived any of its rights or remedies hereunder unless such waiver is in writing and signed by the Service. No delay or omission on the part of the Service in exercising any rights or remedies shall operate as a waiver of such rights or remedies or any other rights or remedies. A waiver on any one occasion shall not be construed as a bar or waiver of any rights or remedies on future occasions. 15. Miscellaneous. This Agreement is governed by and construed in accordance with the laws of the State of Colorado, United States of America, without regards to its principles of conflicts of law. If any provision of this Agreement is found to be unlawful, void or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions. This is the entire Agreement between us relating to the subject matter herein and supersedes any and all prior or contemporaneous written or oral Agreements between us with respect to such subject matter. This Agreement is not assignable, transferable or sublicenseable by you except with M3 Information’s prior written consent. No waiver by either party of any breach or default hereunder shall be deemed to be a waiver of any preceding or subsequent breach or default. Any heading, caption or section title contained in this Agreement is inserted only as a matter of convenience and in no way defines or explains any section or provision hereof.

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This form is not a diagnostic instrument and is to be used solely within the context of your medical treatment with your physician or other health care provider. The maker and provider of this form disclaims any liability, loss, or risk incurred as a consequence, directly or indirectly, from the use and application of any of this material. My Mood Monitor™ V.03.06 Copyright © 2002-2012 by M3 Information™, The M-3 Checklist and are free for personal home use. For any other uses, including clinical., educational, non-profit, hospital research, or for-profit settings please contact No further reproduction or distribution, or reverse engineering is permitted without written permission from M3 Information. Patent Pending.